Another Face of Health Care Disparity: Stigma of Mental Illness

Pope, William Stuart

doi:10.3928/02793695-20110802-01

Cited by 7 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants in this study described the experience of stigmatization and discrimination by hospital personnel as a result both of their mental health and/or addictions challenges, and their repeated visits. Evidence of perceived stigmatization and stereotyping of patients with mental illness by health care providers is growing (Clarke et al 2007;Pope 2011;Skosireva et al 2014). While previous inquiry into the ED experiences of frequent users revealed perceived ageism (Olsson and Hansagi 2001), racism (Nairn et al 2004), sexism, and discrimination based on socioeconomic status, the experience of discrimination based specifically on mental health status and substance use has not been previously exposed for this subpopulation.…”

Section: Discussionmentioning

confidence: 94%

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

Wise-Harris

Pauly

Kahan

et al. 2016

Adm Policy Ment Health

102

135

View full text Add to dashboard Cite

The experiences of individuals with mental illness and addictions who frequently present to hospital emergency departments (EDs) have rarely been explored. This study reports findings from self-reported, quantitative surveys (n = 166) and in-depth, qualitative interviews (n = 20) with frequent ED users with mental health and/or substance use challenges in a large urban centre. Participants presented to hospital for mental health (35 %), alcohol/drug use (21 %), and physical health (39 %) concerns and described their ED visits as unavoidable and appropriate, despite feeling stigmatized by hospital personnel and being discharged without expected treatment. Supporting this population may require alternative service models and attention to staff training in both acute and community settings.

show abstract

Section: Discussionmentioning

confidence: 94%

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

Wise-Harris

Pauly

Kahan

et al. 2016

Adm Policy Ment Health

102

135

View full text Add to dashboard Cite

show abstract

“…Health professionals, including nurses and medical staff, in the acute medical care setting such as emergency departments, medical-surgical wards, intensive care units and general-medical wards are therefore in regular contact with patients who experience mental illness as a co-morbidity to a physical condition. Some literature suggests that health professionals in these “non-mental health” settings find the complex care of these patients challenging and consequently the patient’s experience of care can be poor [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

The phenomenon of co-morbid physical and mental illness in acute medical care: the lived experience of Australian health professionals

Giandinoto

Edward

2015

BMC Res Notes

View full text Add to dashboard Cite

BackgroundAn estimated 30–50% of patients admitted to acute medical care settings experience co-morbid physical and mental illness. Research suggests that health professionals in these settings find managing this patient group challenging. A number of studies have investigated health professional’s attitudes and perceptions however there is limited research that investigates the lived experience in a current Australian healthcare context. The aim of this study was to explicate an in-depth description of the health professional’s experience when caring for patients experiencing co-morbid physical and mental illness in Australian acute medical care settings.MethodsA phenomenological design was undertaken with six participants representing nursing and medical disciplines. In 2013–2014 one-on-one semi-structured interviews were used and the data collected underwent thematic analysis using an extended version of Colaizzi’s phenomenological inquiry.ResultsSix themes emerged including—challenging behaviours, environmental and organisational factors, lack of skills, knowledge and experience, hyper-vigilance and anxiety, duty of care and negative attitudes with an overarching theme of fear of the unknown.ConclusionsStaff in acute medical care settings were unsure of patients with mental illness and described them as unpredictable, identifying that they lacked requisite mental health literacy. Regular training is advocated.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1264-z) contains supplementary material, which is available to authorized users.

show abstract

“…These findings are consistent with previous studies [ 17 – 19 , 21 , 22 ]. In fact, the neglect of physical well-being in patients with severe mental illnesses, including schizophrenia, is often attributable to an egregious disparity in health [ 12 , 13 ]. Nasrallah et al reported a high proportion of under-diagnosis and under-treatment of hypertension, dyslipidemia and diabetes in schizophrenia [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Lower Incidence of End-Stage Renal Disease but Suboptimal Pre-Dialysis Renal Care in Schizophrenia: A 14-Year Nationwide Cohort Study

et al. 2015

View full text Add to dashboard Cite

Schizophrenia is closely associated with cardiovascular risk factors which are consequently attributable to the development of chronic kidney disease and end-stage renal disease (ESRD). However, no study has been conducted to examine ESRD-related epidemiology and quality of care before starting dialysis for patients with schizophrenia. By using nationwide health insurance databases, we identified 54,361 ESRD-free patients with schizophrenia and their age-/gender-matched subjects without schizophrenia for this retrospective cohort study (the schizophrenia cohort). We also identified a cohort of 1,244 adult dialysis patients with and without schizophrenia (1:3) to compare quality of renal care before dialysis and outcomes (the dialysis cohort). Cox proportional hazard models were used to estimate the hazard ratio (HR) for dialysis and death. Odds ratio (OR) derived from logistic regression models were used to delineate quality of pre-dialysis renal care. Compared to general population, patients with schizophrenia were less likely to develop ESRD (HR = 0.6; 95% CI 0.4–0.8), but had a higher risk for death (HR = 1.2; 95% CI, 1.1–1.3). Patients with schizophrenia at the pre-ESRD stage received suboptimal pre-dialysis renal care; for example, they were less likely to visit nephrologists (OR = 0.6; 95% CI, 0.4–0.8) and received fewer erythropoietin prescriptions (OR = 0.7; 95% CI, 0.6–0.9). But they had a higher risk of hospitalization in the first year after starting dialysis (OR = 1.4; 95% CI, 1.0–1.8, P < .05). Patients with schizophrenia undertaking dialysis had higher risk for mortality than the general ESRD patients. A closer collaboration between psychiatrists and nephrologists or internists to minimize the gaps in quality of general care is recommended.

show abstract

Another Face of Health Care Disparity: Stigma of Mental Illness

Cited by 7 publications

References 9 publications

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

“Hospital was the Only Option”: Experiences of Frequent Emergency Department Users in Mental Health

The phenomenon of co-morbid physical and mental illness in acute medical care: the lived experience of Australian health professionals

Lower Incidence of End-Stage Renal Disease but Suboptimal Pre-Dialysis Renal Care in Schizophrenia: A 14-Year Nationwide Cohort Study

Contact Info

Product

Resources

About